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Hawaii rates for HCPCS 51580

Cystectomy, complete, with ureterosigmoidostomy or ureterocutaneous transplantations;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,747.00 / $2,747.00 / $2,747.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,942.14 / $2,034.56 / $2,034.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,872.05 / $2,312.56 / $2,322.37
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,692.70 / $3,025.33 / $3,569.89
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,035.06 / $2,220.06 / $2,590.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,446.00 / $2,446.00 / $2,446.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,887.05 / $2,312.56 / $3,017.69
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.27 / $1,852.41 / $2,934.48